At issue is the creation of new health insurance
markets, where millions of middle-class households and small businesses
will shop for private coverage. The so-called exchanges will open for
business Jan. 1, 2014, and most of their customers will be eligible for
government subsidies to help pay premiums. The exchanges will also steer
low-income people into expanded Medicaid programs, if states choose to
broaden their safety net coverage.
Thursday evening, the Obama administration responded to a request for more time from Republican governors by granting states a month's extension, until Dec. 14.
Ahead
of the original deadline, a check by The Associated Press found that 21
states plus the District of Columbia, have already indicated they want
to become involved, either by building and running their own exchanges
or partnering with Washington. The 16 that want to build their own
exchanges, plus the District of Columbia, face a Jan. 1 deadline for the
federal government to approve their plans.
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